Provider Demographics
NPI:1194359554
Name:ARREOLA, STEPHANIE MARIE (RN, ARNP, AGPCNP-C)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:MARIE
Last Name:ARREOLA
Suffix:
Gender:F
Credentials:RN, ARNP, AGPCNP-C
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:MARIE
Other - Last Name:ARREOLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:6006 BELLA RD
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-8619
Mailing Address - Country:US
Mailing Address - Phone:941-545-7479
Mailing Address - Fax:
Practice Address - Street 1:6006 BELLA RD
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-8619
Practice Address - Country:US
Practice Address - Phone:941-545-7479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11017400363L00000X
FL9309820163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine